PubMed · 16570463
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J D Overton. 2006. Conclusions questioned.. https://doi.org/10.14219/jada.archive.2006.0169
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OBJECTIVES: To evaluate the micro-shear bond strength to enamel and dentin, pH and hardness of two self-etching adhesives over a period of 60 weeks storage at different temperatures. MATERIALS AND METHODS: Two self-etching systems, an all-in-one adhesive, Clearfil Tri-S Bond (TS) and a two-step adhesive, Clearfil SE Bond (SE) were used in this study (both by Kuraray Medical, Osaka, Japan). Their micro-shear bond strengths to enamel and dentin were measured. The materials were then stored at 4, 23 or 37 degrees C. Their bond strengths were measured again after 1, 4, 16 and 60 weeks and compared to the base line. The nano-indentation hardness of the polymerized bonding, pH of SE primer and TS were also measured at the baseline and after 60 weeks of storage at three different temperatures. Bond-strength and hardness data were analyzed using ANOVA and post hoc tests at the significance level of 0.05. RESULTS: Two-way ANOVA analysis showed that both storage conditions and material type had significant effects on bond strength to enamel or dentin but the interactions of these factors were not significant for any of the substrates. One-way ANOVA post hoc tests revealed that the bond strength of adhesives stored at 37 degrees C significantly decreased during the storage period; with the earliest significant decreases observed at 4 weeks for TS and at 16 weeks for SE. After 60 weeks of storage, the hardness obtained for SE bonding resin was not significantly different with that at the baseline for 4, 23 and 37 degrees C groups, but there was a significant decrease observed in hardness for TS stored at 37 degrees C, compared to that at the baseline. The pH of both self-etching materials decreased when they were stored at 37 degrees C. CONCLUSION: Storage time and temperature significantly affected the bond strength of both materials through the time dependent hydrolysis and other changes that are likely to occur in the water-containing self-etching agents at high temperatures.
The purpose of this study was to assess the apical sealing ability of the new resin-based Epiphany-Resilon root canal filling system, and to compare this with the sealing abilities of different pairings of AH plus, gutta-percha, Epiphany, and Resilon. Seventy extracted human single-rooted teeth were used. All teeth were instrumented using a set of ProTaper rotary instruments. The canal spaces were filled with different combinations of core and sealer using lateral condensation, as follows: group 1, AH Plus + gutta-percha; group 2, AH Plus + Resilon; group 3, Epiphany + Resilon; group 4, Epiphany + gutta-percha. Apical leakage quantity was measured with the computerized fluid filtration meter. Statistical analysis indicated that Epiphany gutta-percha combination had the least amount of microleakage than all the other groups; AH Plus gutta-percha combination proved to have second least amount of microleakage among the groups. AH Plus-Resilon combination demonstrated the greatest amount of microleakage. There were a significant difference between Epiphany gutta-percha and AH Plus-Resilon combinations (p < 0.05). It was found that there were no significant differences between Epiphany-Resilon combination and all the other groups (p > 0.05).
OBJECTIVE: To ascertain the efficacy of polymerization of self-etching dental adhesives in different solvent evaporation conditions. MATERIAL AND METHODS: Four self-etching adhesive systems were studied. Two of them are classified as mild two-step self-etching adhesives (Clearfil SE Bond, Protect Bond) and the other two are strong one-step systems (Xeno III, ADP-Prompt-L-Pop). The influence of temperature and duration of the air-drying period on photo-polymerization was followed by: gravimetry, (1)H solid-state NMR spectroscopy and stray-field MRI. The evolution of proton magnetization with irradiation time was recorded and correlated with volumetric polymerization shrinkage and extent of reaction; evaporation and hardening effects were identified. RESULTS: Main variables determining water-solvent evaporation of the tested adhesives are: (1) water/HEMA relative concentration, (2) presence of photoinitiator compounds in the primer (SEB) and (3) presence of ethanol (XENO). SEB shows the highest extent of photo-polymerization of the tested adhesives. The lowest volumetric contraction was obtained for APLP and XENO and the attempt to remove the solvents did not increase the extent of polymerization significantly. CONCLUSIONS: Temperature increase following photo-polymerization reaction is dominant towards the effect of the drying step for solvent evaporation in self-etching systems. Attempts to remove the solvents did not increase the extent of polymerization, so other problems are impairing the polymerization of one-step adhesives. CLINICAL SIGNIFICANCE: The use of tested one-step adhesives is discouraged as the attained low extent of polymerization may lead to low bond strength, high susceptibility to degradation and also will favor a continuing etching effect on the underlying dentin.